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Bad news

M H Brouwers, H Bor, R Laan, C van Weel, E van Weel-Baumgarten
OBJECTIVE: Breaking bad news (BBN) should be trained, preferably early and following a helical model with multiple sessions over time, including feedback on performance. It's unclear how medical students evaluate such an approach. METHODS: We gathered student opinions regarding a helical BBN training programme, the feedback and emotional support they received, and the applicability of the skills training immediately after BBN skills training (Q1) and after finishing their clinical clerkships (Q2)...
May 7, 2018: Patient Education and Counseling
Galit Hofree, Paul Ruvolo, Audrey Reinert, Marian S Bartlett, Piotr Winkielman
Facial actions are key elements of non-verbal behavior. Perceivers' reactions to others' facial expressions often represent a match or mirroring (e.g., they smile to a smile). However, the information conveyed by an expression depends on context. Thus, when shown by an opponent, a smile conveys bad news and evokes frowning. The availability of anthropomorphic agents capable of facial actions raises the question of how people respond to such agents in social context. We explored this issue in a study where participants played a strategic game with or against a facially expressive android...
2018: Frontiers in Neurorobotics
Melanie Rudd
This review highlights recent research on time shortage, which has been broadly classified into three streams. Building upon decades of time use survey and diary findings, the trends and demographics stream document the latest longitudinal changes in perceptions of time shortage (including a recent decline) and provides an increasingly clear picture of who is hardest hit by time shortage. Meanwhile, the consequences stream has underscored that although time shortage has myriad negative outcomes, busyness and time pressure are not all bad news...
April 13, 2018: Current Opinion in Psychology
Orit Karnieli-Miller, Keren Michael, Shmuel Eidelman, Dafna Meitar
OBJECTIVES: To examine how medical students notice issues in a vignette and construct their meaning, and how this construction influences their plan to communicate with the patient. METHODS: Following a breaking bad news course for 112 senior medical students, we qualitatively analyzed the participants' written descriptions of the issues they noticed as requiring special attention, using an Immersion/Crystallization iterative consensus process. RESULTS: Different students noticed different issues, but no-one noticed all 19 planted issues (Mean of issues noticed by students = 6...
April 10, 2018: Patient Education and Counseling
Yuya Hagiwara, Juan Pagan-Ferrer, Sandra Sanchez-Reilly
Current standard geriatric curricula and exposure of students to the elderly may be insufficient to influence students' interest in geriatric medicine. We developed an innovative curriculum to address this gap. This study aimed to identify knowledge, skill, and attitude changes of first-year students in an accelerated baccalaureate-MD program toward geriatrics after participation in an early-exposure geriatrics curriculum (GC). The GC consisted of fifteen 3-hr interactive teaching sessions facilitated by various health professionals...
April 23, 2018: Gerontology & Geriatrics Education
Orit Karnieli-Miller, Michal Palombo, Dafna Meitar
CONTEXT: Breaking bad news (BBN) is a challenge that requires multiple professional competencies. BBN teaching often includes didactic and group role-playing sessions. Both are useful and important, but exclude another critical component of students' learning: day-to-day role-model observation in the clinics. Given the importance of observation and the potential benefit of reflective writing in teaching, we have incorporated reflective writing into our BBN course. The aim of this study was to enhance our understanding of the learning potential in reflective writing about BBN encounters and the ability to identify components that inhibit this learning...
May 2018: Medical Education
Hussein H K Abbas, Kheloud M H Alhamoudi, Mark D Evans, George D D Jones, Steven S Foster
BACKGROUND: Targeted therapies are based on exploiting cancer-cell-specific genetic features or phenotypic traits to selectively kill cancer cells while leaving normal cells unaffected. Oxidative stress is a cancer hallmark phenotype. Given that free nucleotide pools are particularly vulnerable to oxidation, the nucleotide pool sanitising enzyme, MTH1, is potentially conditionally essential in cancer cells. However, findings from previous MTH1 studies have been contradictory, meaning the relevance of MTH1 in cancer is still to be determined...
April 16, 2018: BMC Cancer
L Cruz-Jiménez, G Torres-Mejía, A Mohar-Betancourt, L Campero, A Ángeles-Llerenas, C Ortega-Olvera, L Martínez-Matsushita, N Reynoso-Noverón, C Duggan, B O Anderson
Objective: To evaluate facilitators and barriers influencing mammography screening participation among women. Design: Mixed methods study. Setting: Three hospital catchment areas in Hidalgo, Mexico. Participants: Four hundred and fifty-five women aged 40-69 years. Intervention: Three hundred and eighty women completed a survey about knowledge, beliefs and perceptions about breast cancer screening, and 75 women participated in semi-structured, in-person interviews...
April 10, 2018: International Journal for Quality in Health Care
Christopher L Sabine
No abstract text is available yet for this article.
April 10, 2018: Proceedings of the National Academy of Sciences of the United States of America
Myrna Milani
No abstract text is available yet for this article.
April 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
Sherry Dahlke, Kim Steil, Rosalie Freund-Heritage, Marnie Colborne, Susan Labonte, Adrian Wagg
Aim: To examine older people and their families' perceptions about their experiences with interprofessional teams. Design: Naturalistic inquiry using qualitative descriptive methods to provide a comprehensive summary of older people and their families' experiences with interprofessional teams. Methods: Interviews were conducted with 22 people from 11 families. The families had experiences with teams in a variety of settings, such as community, residential care and hospital...
April 2018: Nursing Open
Margueritta El Asmar, Amer Bechnak, Johny Fares, Dana Al Oweini, Ahmad Alrazim, Adnan El Achkar, Hani Tamim
Objectives: Regular screening for breast cancer is associated with better survival, but compliance with guidelines depends on good knowledge and attitudes. This study aimed to assess the level of breast cancer knowledge, attitudes and screening practices in Lebanese females, and identify their socio-demographic determinants as well as barriers to mammography use. Methods: This cross-sectional study was conducted with 371 Lebanese females residing in Beirut aged 18-65 with no history of breast cancer. The questionnaire applied was adapted from Stager and Champion...
March 27, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
Samar M Aoun, Mary R O'Brien, Lauren J Breen, Margaret O'Connor
The diagnosis of Motor Neurone Disease (MND) is devastating for people with MND (PwMND) and their families. The objective of this study is to describe the experiences of PwMND in receiving the diagnosis in order to inform a more person-centred approach to communicating such bad news. The design was an anonymous postal survey facilitated by all MND associations across Australia (2014-15). Survey questions centred on the SPIKES protocol for communicating bad news; each question contained an area for written responses, which were thematically analysed for content...
April 15, 2018: Journal of the Neurological Sciences
M Roessler, N Eulitz
The scope of emergency calls for emergency medical services staffed by an emergency physician (EMS-EP) includes calls to patients with life-limiting diseases. Symptom exacerbation as well as psychosocial overburdening of caring relatives are the most frequent reasons for activation of an EMS-EP. Pain crises, acute dyspnea, massive bleeding and/or an impending or overt cardiac arrest are the most frequent symptom exacerbations. Under the conditions of a prehospital emergency physician mission, particular challenges are the evaluation of the overall situation, the prognosis and the presumed will of the patient...
March 21, 2018: Der Anaesthesist
Jacob Arnold, Jennifer Tango, Ian Walker, Chris Waranch, Joshua McKamie, Zafrina Poonja, Anne Messman
Introduction: Physicians are at much higher risk for burnout, depression, and suicide than their non-medical peers. One of the working groups from the May 2017 Resident Wellness Consensus Summit (RWCS) addressed this issue through the development of a longitudinal residency curriculum to address resident wellness and burnout. Methods: A 30-person (27 residents, three attending physicians) Wellness Curriculum Development workgroup developed the curriculum in two phases...
March 2018: Western Journal of Emergency Medicine
Kathy Cozonac
No abstract text is available yet for this article.
April 2018: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
I Bragard, M Guillaume, A Ghuysen, J C Servotte, I Ortiz, B Pétré
The transformations of the health system and the preferences of the patients themselves have led healthcare professionals to rethink the place and role of the patient in the healthcare system, putting the caregivercare relationship and communication at the heart of public health issues. The literature shows that empathic communication is associated with better adherence to treatment, better patient satisfaction and less litigation. However, the initial training programs of health professionals are little oriented towards this field...
February 2018: Revue Médicale de Liège
Jessica M Goldonowicz, Michael S Runyon, Mark J Bullard
BACKGROUND: To investigate the value of a novel simulation-based palliative care educational intervention within an emergency medicine (EM) residency curriculum. METHODS: A palliative care scenario was designed and implemented in the simulation program at an urban academic emergency department (ED) with a 3-year EM residency program. EM residents attended one of eight high-fidelity simulation sessions, in groups of 5-6. A standardized participant portrayed the patient's family member...
March 7, 2018: BMC Palliative Care
Felix Michael Schmitz, Kai Philipp Schnabel, Daniel Bauer, Cadja Bachmann, Ulrich Woermann, Sissel Guttormsen
OBJECTIVES: Effective instructional approaches are needed to enable undergraduates to optimally prepare for the limited training time they receive with simulated patients (SPs). This study examines the learning effects of different presentation formats of a worked example on student SP communication. METHODS: Sixty-seven fourth-year medical students attending a mandatory communication course participated in this randomized field trial. Prior to the course, they worked through an e-learning module that introduced the SPIKES protocol for delivering bad news to patients...
February 24, 2018: Patient Education and Counseling
Benjamin Derbez
Time has long been considered as an important dimension of the process of disclosure of information about genetic risk to kin. The question of the "right time to tell" has been frequently noticed but seldom placed at the centre of the analyses of social scientists. Based on an ethnographical fieldwork in a French cancer genetics clinic, this article aims to show that many dimensions of the practical issues of disclosure to family can be fruitfully addressed through the temporal lens of kairos. Relying on the case of hereditary breast and ovarian cancer risk, it firstly highlights the existence of a mismatch between the "chronological" time of prevention proposed by professionals and the "kairological" time of disclosure lived by informants...
April 2018: Social Science & Medicine
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